Common use of Choice of Health Care Professional Clause in Contracts

Choice of Health Care Professional. The MCO must allow an Enrollee to choose his or her Health Care Professional to the extent possible and appropriate. “To the extent possible and appropriate” includes limiting the selection of a Primary Care Provider to participants in the MCO’s network, unless the Primary Care Provider was already at capacity, and other instances discussed in the “Provisions of the Proposed Rule and Analysis of and Response to Public Comments” to 42 CFR § 438.6(m), Volume 67, Number 115, column 3 of page 41,006 and column 1 of page 41,007 of the Federal Register, June 14, 2002.

Choice of Health Care Professional. The MCO must allow an Enrollee to choose his or her Health Care Professional to the extent possible and appropriate. “To the extent possible and appropriate” includes limiting the selection of a Primary Care Provider to participants in the MCO’s network, unless the Primary Care Provider was already at capacity, and other instances discussed in the “Provisions of the Proposed Rule and Analysis of and Response to Public Comments” to 42 CFR § 438.6(m), Volume 67, Number 115, column 3 of page pages 41,006 and column 1 of page 41,007 of the Federal Register, June 14, 2002.

Choice of Health Care Professional. The MCO must allow an Enrollee to choose his or her Health Care Professional health professional to the extent possible and appropriate. “To the extent possible and appropriate” includes limiting the selection of a Primary Care Provider to participants in the MCO’s network, unless the Primary Care Provider was already at capacity, and other instances discussed in the “Provisions of the Proposed Rule and Analysis of and Response to Public Comments” to 42 CFR § 438.6(m), Volume 67, Number 115, column 3 of page 41,006 and column 1 of page 41,007 of the Federal Register, June 14, 2002.